
        <table class="vertical_table" id='t_best_corrected_visual_acuity'>
            <caption>Best Corrected Visual Acuity</caption>
            <thead>
                <tr>
                    <th colspan="3">1. <?php echo xl('Snellen'); ?>:20/</th>
                </tr>
				<tr>
                    <th colspan="3">2. <?php echo xl('Finger Count'); ?>:</th>
                </tr>
				<tr>
                    <th colspan="3">3. <?php echo xl('Hand Movement'); ?>:</th>
                </tr>
            </thead>
            <tbody>
				<tr>
					<td><input type='text' id='1_corrected_1' name='1_corrected_1'></input></td>
				</tr>
				<tr>
					<td><input type='text' id='1_corrected_2' name='1_corrected_2'></input></td>
				</tr>
				<tr>
					<td><input type='text' id='1_corrected_3' name='1_corrected_3'></input></td>
				</tr>
            </tbody>
        </table>